Search › Oklahoma › 225200000X
Jeremy Tackett, PTA
NPI 1043412364 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1013 W Park Ave
Checotah, OK 74426 - Phone
- (918) 473-1748
- Fax
- (918) 473-1748
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma